Provider Credentialing and Enrollment Associate

TCC Health • Jamestown, NY

3d

About The Position

The Provider Credentialing and Enrollment Associate is responsible for preparing and submitting enrollment applications and tracking credentialing statuses. They will coordinate with providers, insurance companies and internal teams to ensure timely approvals and renewals. The associate plays a key role in maintaining provider data and facilitating uninterrupted participation in insurance networks.

Requirements

• High School Diploma or equivalent General Education Development (GED) certificate
• 1 year experience preferred
• Data entry and database management
• Document management and recordkeeping
• Experience with payer portals
• Attention to detail and accuracy
• Time management and prioritization

Nice To Haves

• Associate's degree preferred

Responsibilities

• Manage the full-cycle credentialing process for healthcare providers, including initial credentialing and recredentialing
• Prepare and submit provider enrollment applications to commercial, federal, and state payors (e.g., Medicare, Medicaid, private insurers)
• Maintain accurate and up-to-date provider records in credentialing databases (e.g., CAQH)
• Track application status and follow up with payors to ensure timely approvals
• Ensure compliance with regulatory requirements, accreditation standards, and organizational policies
• Maintain knowledge of payor enrollment requirements and updates
• Assist with contract loading and provider roster submissions as needed
• Respond to internal and external inquiries regarding provider enrollment status
• Support reporting related to credentialing and enrollment activities
• Other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED